Healthcare Provider Details

I. General information

NPI: 1679516983
Provider Name (Legal Business Name): JAMES ALAN KLEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5969 E BROAD ST STE 407
COLUMBUS OH
43213-1540
US

IV. Provider business mailing address

5969 E BROAD ST SUITE 400
COLUMBUS OH
43213-1546
US

V. Phone/Fax

Practice location:
  • Phone: 614-627-1322
  • Fax: 614-577-8302
Mailing address:
  • Phone: 614-577-8322
  • Fax: 614-577-8302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35048420
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35048420
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: